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Suicide first aid guidelines for Sri Lanka: a Delphi consensus study.

Saranga A De Silva1, Erminia Colucci1, Jayan Mendis2

  • 1Global and Cultural Mental Health Unit, Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, 207 Bouverie Street, Carlton, VIC 3053 Australia.

International Journal of Mental Health Systems
|September 1, 2016
PubMed
Summary

Sri Lanka faces high suicide rates. This study developed culturally sensitive suicide first aid guidelines for the public, empowering them to assist individuals at risk and enhance suicide prevention efforts.

Keywords:
AssistanceGatekeeper trainingHelping behaviourMental health first aidSri LankaSuicide prevention

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Area of Science:

  • Public Health
  • Mental Health Research
  • Suicidology

Background:

  • Sri Lanka experiences one of the world's highest suicide rates.
  • Gatekeeper programs offer a potential suicide prevention strategy.
  • Developing public-facing suicide first aid guidelines is crucial for Sri Lanka.

Purpose of the Study:

  • To develop culturally appropriate suicide first aid guidelines for the Sri Lankan public.
  • To empower community members to provide initial support to those at risk of suicide.
  • To contribute to national suicide prevention strategies.

Main Methods:

  • The Delphi method was employed to achieve expert consensus.
  • An expert panel of Sri Lankan mental health and suicide professionals rated potential helping statements.
  • Three rounds of Delphi consensus-building were conducted, with statements requiring 80% endorsement for inclusion.

Main Results:

  • A total of 304 statements were endorsed by the expert panel.
  • The Delphi process generated 58 new culturally relevant items.
  • The endorsed statements formed the basis for the suicide first aid guidelines.

Conclusions:

  • Culturally appropriate suicide first aid guidelines were developed through expert consensus in Sri Lanka.
  • These guidelines can inform public training programs for suicide prevention.
  • The research supports the integration of mental health first aid into Sri Lanka's broader suicide prevention framework.